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Updates to several sections in Chapter 1 of the State Payment of Medicare Premiums Manual.

This update to the State Payment of Medicare Premiums manual (formerly called “State Buy-in Manual”) revises policy instructions in chapter one of the manual to provide further instructions to states on implementing provisions of the Sept. 21, 2023, Medicare Savings Program (MSP) Eligibility and Enrollment final rule and to include technical edits related to MSP enrollment and state buy-in.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 16, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.